Summer Intersession Download, Print, Sign and Mail – Medical Form Download, Print, Sign and Mail – Release Form 2022 SUMMER INTERSESSION PROGRAM Sponsored by: Raritan Township Recreation 1 Municipal Drive Flemington, NJ 08822 (908)892-4649 Email: firstname.lastname@example.org Website:http://raritantownshiprecreation.com/ THIS YEAR’S PROGRAMS INCLUDE: FUNT AT FOUR AT COPPER HILL ELEMENTARY SUMMER INTERSESSION AM & PM TO BE HELD AT COPPER HILL ELEMENTARY SCHOOL AND BARLEY SHEAF ELEMENTARY SCHOOL FROM JUNE 30 TH THROUGH JULY 29 TH , 2022 Welcome! THE RARITAN TOWNSHIP RECREATION DEPARTMENT IS PLEASED TO PRESENT ITS 44th ANNUAL SUMMER INTERSESSION PROGRAM FOR 2022. In order to properly plan for our program, the registration deadline is May 31, 2022. After that date, we can accommodate students only if space is available. This year there will be a LIMIT OF 150 CAMPERS AT EACH SITE, so please register early. The fee schedule for 2022 is as follows: ONLINE BY: IN DISTRICT 5/31/22 AM $195.00 PM $290.00 NO REGISTRATIONS ACCEPTED FROM JUNE 1 – JULY 1, 2022 ON SITE REGISTRATION (BASED ON SPACE AVAILABILITY) WILL BE: 7/5-7/8/22 AM $250.00 PM $375.00 Bring your child to Barley Sheaf or Copper Hill school entrance, depending on where you registered your child, by 8:45 a.m. on Thursday, June 30th. Please provide a snack and a drink. Pick up times are 12 Noon for for the AM Program. 5 p.m. for the PM Program. Please be prompt. You MUST park and get out of your car for pickup and drop off. We cannot permit children to cross into the parking lots unescorted. For your child’s safety, please please send them with sneakers, rather than shower shoes or sandals. The wearing of inadequate footwear will exclude your child from running activities. Please discourage your child from bringing expensive personal items to the program. We will not be responsible if these items are lost, stolen, or damaged. AM PROGRAM THURSDAY, JUNE 30 - FRIDAY, JULY 29, 2022COPPER HILL AND BARLEY SHEAF ELEMENTARY SCHOOLS Closed JULY 4th, 2022 8 a.m. – 9 a.m. Early Drop Off – Adult Supervised (no additional fee) 9 a.m. – 12 Noon Group Activities – Cost: $195 In District Only Children must be five (5) years old or older by June 28,2022 (NO EXCEPTIONS) Camp will be held at COPPER HILL ELEMENTARY SCHOOL AND BARLEY SHEAF ELEMENTARY SCHOOL and will be supervised by an experienced teacher/adult. Counselors are college and high school students, many who have worked with the program in previous years, or who are studying childhood education. Students are assigned to small groups (by grade completed during the 2021-2022 school year) with one counselor who has primary responsibility for his/her group. The grades are: Pre K, Kindergarten, 1st, 2nd, 3rd, 4th, 5th, and 6th only. By design, the program is non-sequential. If a child does not attend for a few days, she/he will be able to participate upon returning. Most of the activities are completed within one day. The Program includes water activities, large group games, board games, arts and crafts, Theme Days, and more. Most activities are held outside, but the gym and cafeteria will be utilized as well. The program operates RAIN or SHINE! PM PROGRAM THURSDAY, JUNE 30 - FRIDAY, JULY 29, 2022 12 Noon – 5 p.m. Closed July 4th, 2022 Cost: $290 In District Only Children must be five (5) years old or older by June 28,2022 (NO EXCEPTIONS) The afternoon program includes the following: time for lunch (each child should bring his/her own lunch and drink; an afternoon snack and drink will be provided), quality childcare, some movies, reading club, writing time, and more. Each child is to bring a book for our daily-required reading time (non readers will be read to). FUN AT FOUR THURSDAY, JUNE 30 - FRIDAY, JULY 29, 2022 8:45 a.m. – 12 Noon at Copper Hill School Only Closed July 4, 2022 8:45 a.m. to 12 Noon (No Early Drop Off) 25 students maximum – students must be four (4) years old by June 28, 2022. Cost: $375 in District Only This is a quality preschool summer program taught by a certified early childhood elementary teacher. Songs, poetry, stories, children’s creative art, and free play will be incorporated each day. Special activities will include drama, puppetry, hands-on science, nature, and gardening. FUN AT FOUR children will be physically separated from other children unless joint activities are planned. Instructor: Ms. Lisa Hutchinson, a 2nd Grade Teacher at Copper Hill, assisted by counselors and junior counselors. RARITAN TOWNSHIP RECREATION 1 Municipal Drive Flemington, NJ 08822 Child's Name: Address: Telephone: Date of Birth: Grade Completed As Of June 2022: Gender: M F LocationCopper HillBarley Sheaf AM Program PM Program AM+PM Program FUN AT FOUR (Copper Hill) FRIENDSHIP REQUEST:YOUR CHILD'S NAME: FRIEND'S NAME: THESE TWO NAMES MUST MATCH ON BOTH REGISTRATION FORMS OR THIS REQUEST WILL NOT BE HONORED. PLEASE ALSO CONFIRM THAT THE FRIEND’S NAME ON THIS FORM IS ATTENDING SUMMER INTERSESSION (SAME GRADE ONLY!) WE CANNOT HONOR THE LINKING OF NAMES. ONE NAME REQUEST ONLY!! EMERGENCY FORM Child's Name: Identify Allergies: IDENTIFY CONDITIONS AND/OR MEDICATIONS CURRENTLY BEING TAKEN: Date of last tetanus shot: Insurance Company: ID/Contract No.: Family Physician: I, being the parent or legal guardian of the above named child, do hereby appoint Kim Creighton, Recreation Directors and their adult designee, to act on my behalf in authorizing medical and hospital care, excluding major elective surgery, for the above named child during the Raritan Township Summer Summer Intersession Program, which is in session from June 30 - July 29, 2022. This document shall be presented to the appropriate hospital representative at such time as expected hospital care may be required. I understand that I am responsible for payment of all medical bills. The participant releases and discharges Raritan Township Recreation and its employees, agents, and Committee persons from any and all liability, claims, or damages which may arise as a result of an injury to the participant while participating in this Activity/Event. Parent/Guardian Name- Print: Home Phone Work Phone Cell Phone First Alternate Local Contact/Phone Second Alternate Local Contact/Phone EMAIL ADDRESS - THIS EMAIL WILL BE USED TO INFORM YOU OF ANY PROGRAMS OUR ORGANIZATION IS RUNNING THROUGHOUT THE YEAR: Email: If necessary, return this: ADDITIONAL INFORMATION FORM SPECIAL NEEDS Please see your site director when camp opens to provide additional information regarding your child’s IEP. For the success of all participants any information you can provide will be helpful to make camp a positive experience. This information needs only to be shared with the director at your specific site. ADMINISTRATION OF MEDICATION The administrative policy of The Raritan Township Recreation requires written permission from a participant’s parent/guardian in order for staff to administer prescribed medications for life threatening episodes. If you may require the staff to administer emergency prescribed medication, please download this form from our website. PLEASE REMEMBER IF THIS FORM IS NOT COMPLETED AND RETURNED MEDICATION WILL NOT BE ADMINISTERED!!! THANKS, Kim Creighton & Claudia Jursik Administrative Issues Please note that friend requests will be honored only if possible after registration forms have been submitted. Recycle Toys, Games, Equipment Please donate useable games and outside play equipment. These gifts continue to keep our fees reasonable. Please email us at email@example.com to arrange delivery. Share Your Time Share an activity, hobby, interesting trip, or read a book (the possibilities are endless) with a small group of children for 30 minutes. You can choose the date, location, time, and number of children. Email us at firstname.lastname@example.org to make arrangements. One day’s notice can be accommodated. Your time and knowledge is valuable, and the kids really enjoy that you have time for them. Mission Statement It is the mission of the Raritan Township Recreation Program to create opportunities for the members of our community to participate in a variety of programs. Programs will provide a fun, safe and creative atmosphere in which each participant may socialize and make positive discoveries about themselves, those around them, and their environment.